Comparison of Predictable Ability Measure Using Examinations and Nursing Licensure Success

Area of Science:

• Nursing Education
• Health Sciences
• Medical Examinations

Background:

• End-of-program predictive examinations have been utilized in nursing education for over a decade.
• Nursing schools employ these exams to align student preparation with the National Council of State Boards of Nursing (NCSBN) NCLEX-RN content.
• The NCSBN has administered the NCLEX-RN examination since 1994.

Purpose of the Study:

• To evaluate the predictive validity of the Predictable Ability Measurement Readiness (PAMR) 1 and 2 examinations.
• To determine if PAMR scores correlate with first-time NCLEX-RN pass rates among nursing students.
• To establish a reliable tool for nursing programs to assess and enhance NCLEX-RN preparedness.

Main Methods:

• Nursing students in their final semester took the PAMR 1 and/or 2, a 100-question exam developed by subject matter experts based on the 2019 NCLEX-RN blueprint.
• PAMR scores were statistically analyzed and compared against students' subsequent NCLEX-RN examination results.
• Regression modeling was used to develop a cut-point scale for predicting NCLEX-RN pass probability.

Main Results:

• A statistically significant positive correlation was found between higher PAMR1 scores and passing the NCLEX-RN on the first attempt.
• The developed cut-point scale demonstrated the ability to predict the likelihood of passing the NCLEX-RN.
• Students who passed the NCLEX-RN on their first attempt achieved higher scores on the PAMR1 examination.

Conclusions:

• The PAMR 1 and 2 examinations serve as reliable and predictable tools for nursing education programs.
• These assessments effectively predict student success on the NCLEX-RN licensure examination.
• Nursing faculty can confidently integrate PAMR into their curricula for enhanced NCLEX-RN preparation.